Individual provider Active NPI

Olga Cavallo Hart

  • Speech-Language Pathologist
  • Phoenix, AZ
National Provider Identifier
1063502284
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP1771 Issued in AZ
Practice address
15002 N 32ND St
Phoenix, AZ 85032-4441
Phone
(602) 867-5223
NPI assigned
Oct 16, 2006
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP1771 AZ Primary

Addresses

Primary practice location

15002 N 32ND St
Phoenix, AZ 85032-4441

Mailing address

15002 N 32ND St
Phoenix, AZ 85032-4441

Other identifiers 1

IdentifierTypeStateIssuer
806515MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191211000817 AZ Practitioner - Qualified Speech Language Pathologist 2365875044 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLP1771AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Therapy, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Theracare PLLC Speech-Language Pathologist CurrentSince Oct 1, 2019 Accepting new patients
Paradise Valley Unified School District Past Accepting new patients

Locations

2830 E Brown Rd
Ste 1
Mesa, AZ 85213
Phone (480) 830-1188

530 E McDowell Rd
Ste 107475
Phoenix, AZ 85004

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1063502284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15002 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15002 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324441",
            "telephone_number": "602-867-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALLO HART",
        "first_name": "OLGA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP1771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806515",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.